| NPI | 1275695306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV WV-SE-1709) |
| 208M00000X Hospitalist (Licence: WV WV-SE-1709) | |
| 208M00000X Hospitalist (Licence: FL ME104944) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-05-14 |